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STUDENTS
TESTIMONIALS
F.A.Q. LIST
CONTACT US
Hours:
Monday-Thursday
8:30am-Noon & 1-6pm
Location:
2150 Pearl Street
Boulder, CO 80302
Phone:
303-444-8337
Fax:
303-444-8393
New Patient Forms
Please print each form below and fill out
completely
to bring to your first appointment. Please arrive 15 minutes prior to your scheduled appointment to hand in your filled out patient forms to the front desk staff.
Patient Identification Form.pdf
Medical History.pdf
BOC Policy Agreement.pdf
HIPAA Form.pdf
To review Boulder Osteopathic Center's HIPAA policies please
click here
Medicare.pdf
(Fill out if 18 years of age or older).
Auto Accident.pdf
(
ONLY
if your visit is Auto Accident related).
If you are having trouble viewing these files please
click here
to install acrobat reader.
Other Miscellaneous Forms
Medical Record Release Form.pdf
(
Not required for new patients
).
Homeopathy.pdf
If you are having trouble viewing these files please
click here
to install acrobat reader.
Website Administrator: BOC@BoulderDO.com